Adept Home Health Services Inc
Organization Active NPI Home Health Agency · Upland, CA
NPI 1073630596 · NPPES record last updated Nov 2, 2022
Key facts
- NPI
- 1073630596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 240000655 (CA)
- Legal business name
- ADEPT HOME HEALTH SERVICES INC
- Practice address
- 818 N Mountain Ave Ste 120
Upland, CA 91786-4164 - Phone
- (909) 608-0006
- Fax
- (909) 608-0008
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Alfredo Hyams, RN
- Title
- Administrator
- Phone
- (909) 608-0006
Other NPIs on the same Medicare enrollment 1
Practitioners 1
-
Hedy Cecilia Loa, MD
Affiliated clinicians 1
-
Levon Haik Gazarian, M.D
Medicare Care Compare: Home health agency
- Listed as
- Adept Home Health Services, Inc
- Overall star rating
- ★★★☆☆ 2.5 of 5
- Ownership
- Proprietary
- Certified
- Sep 27, 1996
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Home health agency certification: CCN 557735
- Legal name
- ADEPT HOME HEALTH SERVICES INC
- Doing business as
- ADEPT HOME HEALTH CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 27, 1996
- Last certification
- Mar 22, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Jul 24, 2004 in CA
- Enrollment address
- 818 N Mountain Ave
Ste 120
Upland, CA 91786-4164
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Alfredo J Hyams |
5% Or Greater Direct Ownership Interest |
Nov 1, 2019 | 100% |
| Corporate Officer |
Nov 1, 2019 | 100% | |
| Corporate Director |
Nov 1, 2019 | 100% | |
| W-2 Managing Employee |
Nov 1, 2019 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040924001014 | CA | Part a Provider - Home Health Agency | 4880663012 |
1 other NPI on this enrollment Practice locations: Upland, CA |
National Provider Directory
Locations
1131 W 6th St
Ste 270
Ontario, CA 91762
Phone (626) 331-8177
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 240000655 | CA | Yes |
Addresses
Primary practice location
818 N Mountain Ave Ste 120
Upland, CA 91786-4164
Mailing address
818 N Mountain Ave Ste 120
Upland, CA 91786-4164
Phone (909) 608-0006
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA57735F | Medicaid | CA |
Other providers in Upland, CA
- Linda Louise Adams
- Michael Jay Adams
- Adda Hospice Providers, Inc.
- Olufemi Adebayo
- Camille Adeimy
- Adept Inc
- Clemens Adeyemi
- Advanced Bodyworks of California, Inc.
- Advanced Healthcare for Women and Children a Nursing Corporation
- Advanced Healthcare for Women and Children a Nursing Corporation
All providers in Upland, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.